Except that ,there were 3 patients of anastomotic leakage,6 cases of anastomotic stoma stenosis,7 cases of infection of incision wounds,3 cases of pyothorax,3 cases of subphrenic absces and 1 case of bleeding after surgery.
Methods There were 50 cases with variant esophageal fistula in this study,of them,43 cases were gastroesophageal anastomosis fistula after surgical operation and 7 cases were esophageal fistula caused by chemical burned.
Objective To observe the therapeutic effect of continuous abdominal double cannula lavage with antibiotic liquid and low negative pressure drainage on anastomotic stoma fistula after operation of colic cancer and rectal cancer.
Conclusion Continuous abdominal double cannula lavage and low negative pressure drainage are easy to conduct, which are the effective way to treat the complication of anastomotic stoma fistula after operation of colic or rectal cancer
The postoperative anastomotic leakage is the most severe complication and the principal cause of death after resection of esophageal carcinoma.
Especially, anastomosis above the aorta arch is accompanied by high incidence of anastomotic leakage usually with fatal prognosis.
Repeat surgery for primary repair of complex bile leaks is difficult and can be complicated by anastomotic leakage and biliary stricture formation.
In an analysis of the recent literature the main risk factors are: tension of the ileal pouch-anal anastomosis, anastomotic leakage, lack of protective ileostomy, preoperatively undiagnosed Crohn's disease and the experience of the surgeon.
One patient died because of an anastomotic leakage.